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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136610512
Report Date: 01/17/2024
Date Signed: 01/17/2024 03:54:24 PM

Document Has Been Signed on 01/17/2024 03:54 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:HURTADO, DALILA FAMILY CHILD CAREFACILITY NUMBER:
136610512
ADMINISTRATOR:DALILA HURTADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 562-0692
CITY:CALEXICOSTATE: CAZIP CODE:
92231
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 5DATE:
01/17/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Dalilia HurtadoTIME COMPLETED:
04:15 PM
NARRATIVE
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On January 17, 2024 at 2:40 PM Licensing Program Analyst (LPA), Gloria Gonzalez conducted an unannounced case management Licensee initiated inspection to add a part of her backyard. This inspection resulted in a deficiency. Upon arrival, LPA met with Licensee, Dalila Hurtado and disclosed the purpose of the inspection. During the inspection there was five (5) daycare children and Licensee's mother.

At 2:40 PM, LPA observed was inspecting the backyard to add the back section of the backyard.
LPA observed the right side of the backyard is gated off and has an inground pool. LPA observed the pool is surrounded by a wrought iron fence and there is no door on this side of the yard and does not have access to the pool. LPA inspected the other side of the pool where the gate is and LPA observed the pool gate was left open and did not have a self-latching, self-closing gate that swings away from the pool and did not meet Title 22 requirements. The door from the inside of the home was locked with a bolted lock. LPA observed all children were inside the home in the daycare area.

Licensee checked the door and the door self closes from a distance but at a closer distance it does not close. Licensee tried to take off some plastic on the edge of the door but that did not work, the pool gate did not completely self close. Licensee states the pool guy left the door open.

LPA informed Licensee, Dalila Hurtado, that this report dated 1/17/24 documents one (1) Type A citation on the attached LIC809-D, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed licensee to provide a copy of this licensing report dated 1/17/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/17/2024 03:54 PM - It Cannot Be Edited


Created By: Gloria Gonzalez On 01/17/2024 at 02:57 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: HURTADO, DALILA FAMILY CHILD CARE

FACILITY NUMBER: 136610512

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/18/2024
Section Cited
CCR
102417(g)(5)

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(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.

This requirement is not met as evidenced by:
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Licensee states she will fix the self-latching, self-closing door to the fence of the pool by 1/18/24. Licensee states she will send the department pictures and a video of the self closing gate, a written statement of her understanding of this regulation, a written summary of the pool video on the CCL website by email by 1/18/24.
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Based on observation and interiew, the licensee did not comply with the section cited above in not ensuring a self-closing, self-latching door, which poses an immediate health, safety or personal rights risk to persons in care. This is a repeat violation.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Tulam Vu
LICENSING EVALUATOR NAME:Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2024


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: HURTADO, DALILA FAMILY CHILD CARE
FACILITY NUMBER: 136610512
VISIT DATE: 01/17/2024
NARRATIVE
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LPA observed Licensee post LIC9213 – Notice of Site Visit and Licensee was advised this notice is to be posted for 30 days from today’s date. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. An exit interview was conducted with Licensee, Dalila Hurtado.

***A Civil Penalty was assessed in the amount of $1000.00, see LIC421IM.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
LIC809 (FAS) - (06/04)
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